The treatment of spondylotic cervical myelopathy by multiple subtotal vertebrectomy and fusion
作者:
JamjoomAbdulhakim,
WilliamsChristopher,
CumminsBrian,
期刊:
British Journal of Neurosurgery
(Taylor Available online 1991)
卷期:
Volume 5,
issue 3
页码: 249-255
ISSN:0268-8697
年代: 1991
DOI:10.3109/02688699109005184
出版商: Taylor&Francis
关键词: Cervical myelopathy;cervical spondylosis;anterior fusion;vertebrectomy
数据来源: Taylor
摘要:
The authors report their experience in the treatment of cervical spondylotic myelopathy by multiple subtotal vertebrectomy and fusion. There were 27 cases with a mean age of 66.9 years. The clinical assessment was carried out using both the Nurick and the Japanese Orthopaedic Association (JOA) grading pre- and post-operatively at 6 months. The post-operative radiological assessment was done at 3 and 6 months. Two cases died from unrelated medical problems. There were three cases of graft dislodgement. Clinical improvement was detected in 80% of cases using the Nurick grading and in 88% of cases using the JOA scoring. No cases deteriorated neurologically after operation. Bony fusion was achieved in 96% of the surviving cases by 6 months. Multiple subtotal vertebrectomy and fusion is therefore an effective method for the treatment of cervical spondylotic myelopathy.
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